<?php include $this->tpl('public:adminHeader.php') ?>

	<link rel="stylesheet" href="{__STATIC_URL__}/public/pay/css/??orderQuery.css,componentTable.css,formLayout.css">

<?php include $this->tpl('public:adminPub.php') ?>

	
	<!-- main -->
	
	<div class="pure-g">
		<div class="pure-u-1-5"></div>
		<div class="pure-u-4-5">

			<form action="" method="" class="adminUI-form">
				<div class="cus-form">
					<div class="form-inner">

						<!-- email -->
						<div class="form-item">
							<label for="email" required>商户邮箱：</label>
							<input type="text" data-valid="email">
						</div>
						<!-- email -->

						<!-- grouping -->
						<div class="form-item">
							<label for="grouping">分组：</label>
							<select name="" id="">
								<option value="none">请选择</option>
							</select>
						</div>
						<!-- grouping -->

						<!-- name -->
						<div class="form-item">
							<label for="name">公司名称：</label>
							<input type="text" placeholder="">
						</div>
						<!-- name -->

						<!-- concat -->
						<div class="form-item">
							<label for="concat">联系人：</label>
							<input type="text" placeholder="">
						</div>
						<!-- concat -->

						<!-- mobile -->
						<div class="form-item">
							<label for="mobile">电话：</label>
							<input type="text" placeholder="" data-valid="mobile" required>
						</div>
						<!-- mobile -->

						<!-- upload-image -->
						<div class="form-item">
							<label for="menu">营业执照：</label>
							<input type="text" placeholder="请上传图片">
						</div>
						<!-- upload-image -->
						
						<!-- upload-image -->
						<div class="form-item">
							<label for="upload-image">税务登记：</label>
							<input type="text" placeholder="请上传图片">
						</div>
						<!-- upload-image -->

						<!-- upload-image -->
						<div class="form-item">
							<label for="upload-image">组织机构代码证：</label>
							<input type="text" placeholder="请上传图片">
						</div>
						<!-- upload-image -->

						<!-- name -->
						<div class="form-item">
							<label for="name">开户名称：</label>
							<input type="text" placeholder="">
						</div>
						<!-- name -->

						<!-- pay -->
						<div class="form-item">
							<label for="pay">开户支付：</label>
							<input type="text" placeholder="">
						</div>
						<!-- pay -->

						<!-- bank-account -->
						<div class="form-item">
							<label for="bank-account">银行账号：</label>
							<input type="text" placeholder="">
						</div>
						<!-- bank-account -->

						<div class="adminUI-error"></div>

						<div style="margin-left: 10em;">
							<button type="submit" class="cus-btn cus-btn-md cus-btn-green"><i class="fa fa-sign-in"></i> 注册</button>
						</div>

					</div>
				</div>
			</form>

		</div>
	</div>
	
	<!-- pub -->
	<script type="text/javascript" src="{__STATIC_URL__}/public/lib/jquery.min.js"></script>
	<script type="text/javascript" src="{__STATIC_URL__}/public/pay/js/common.js"></script>
	<!-- pub -->

	<!-- 弹出框 -->
	<link rel="stylesheet" href="{__STATIC_URL__}/public/lib/jqueryplug/artDialog/ui-dialog.css">
	<script type="text/javascript" src="{__STATIC_URL__}/public/lib/jqueryplug/artDialog/dialog-min.js"></script>
	<!-- 弹出框 -->

	<!-- main -->


<?php include $this->tpl('public:adminFooter.php') ?>
	